| NPI | 1013075191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD M LEVINE President 212-580-2180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 009958-1) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |